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        <BusinessNameLine1Txt>PAVENTO RATCLIFFE RENZI &amp; CO LLC</BusinessNameLine1Txt>
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      <PreparerPersonNm>John A Ratcliffe</PreparerPersonNm>
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      <TotalContributionsAmt>114967</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Rehabilitative Program</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>4795766</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4795766</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4795766</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>825</TotalRevenueColumnAmt>
        <ExclusionAmt>825</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>13773</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>13773</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>13773</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13773</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>15442</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>9732</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>5710</TotalRevenueColumnAmt>
        <ExclusionAmt>5710</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4931041</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4809539</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>6535</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>112602</TotalAmt>
        <ManagementAndGeneralAmt>112602</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2136166</TotalAmt>
        <ProgramServicesAmt>1913556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222610</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>15171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1477</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>167352</TotalAmt>
        <ProgramServicesAmt>159409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7943</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>194206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18911</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>206</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>17010</TotalAmt>
        <ManagementAndGeneralAmt>17010</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>17848</TotalAmt>
        <ProgramServicesAmt>17848</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>270</TotalAmt>
        <ProgramServicesAmt>270</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>13353</TotalAmt>
        <ProgramServicesAmt>2018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11335</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>224134</TotalAmt>
        <ProgramServicesAmt>171815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52319</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>10142</TotalAmt>
        <ProgramServicesAmt>9410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>732</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1204</TotalAmt>
        <ManagementAndGeneralAmt>1204</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1365</TotalAmt>
        <ManagementAndGeneralAmt>1365</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>38490</TotalAmt>
        <ProgramServicesAmt>34313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4177</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>3499</TotalAmt>
        <ManagementAndGeneralAmt>3499</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Care Givers Reimburseme</Desc>
        <TotalAmt>1332385</TotalAmt>
        <ProgramServicesAmt>1332385</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Client Wages</Desc>
        <TotalAmt>317834</TotalAmt>
        <ProgramServicesAmt>317834</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Contracted Services</Desc>
        <TotalAmt>61856</TotalAmt>
        <ProgramServicesAmt>32367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29489</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Program Supplies &amp; Mate</Desc>
        <TotalAmt>57244</TotalAmt>
        <ProgramServicesAmt>57244</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>126744</TotalAmt>
        <ProgramServicesAmt>78885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47859</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4869469</TotalAmt>
        <ProgramServicesAmt>4336731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>532738</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>766866</BOYAmt>
        <EOYAmt>742012</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>194971</BOYAmt>
        <EOYAmt>231705</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>55500</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>470412</BOYAmt>
        <EOYAmt>435626</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>15345</BOYAmt>
        <EOYAmt>7139</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>47145</BOYAmt>
        <EOYAmt>40892</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2080302</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1257500</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>851992</BOYAmt>
        <EOYAmt>822802</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>26619</BOYAmt>
        <EOYAmt>379684</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>2373350</BOYAmt>
        <EOYAmt>2715360</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>297718</BOYAmt>
        <EOYAmt>262607</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>13999</BOYAmt>
        <EOYAmt>14067</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>153190</BOYAmt>
        <EOYAmt>115697</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>352974</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>464907</BOYAmt>
        <EOYAmt>745345</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1878999</BOYAmt>
        <EOYAmt>1875031</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>29444</BOYAmt>
        <EOYAmt>94984</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1908443</BOYAmt>
        <EOYAmt>1970015</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2373350</BOYAmt>
        <EOYAmt>2715360</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>61572</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>44228</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>75251</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15912</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>48934</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>105675</CurrentTaxYearAmt>
        <TotalAmt>290000</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>5553274</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5326859</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4317871</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4891482</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4795766</CurrentTaxYearAmt>
        <TotalAmt>24885252</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>5597502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5402110</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4333783</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4940416</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4901441</CurrentTaxYearAmt>
        <TotalAmt>25175252</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>25175252</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>229</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>289</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>282</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>305</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>825</CurrentTaxYearAmt>
        <TotalAmt>1930</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>289</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>282</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>305</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>825</CurrentTaxYearAmt>
        <TotalAmt>1930</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>5597731</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5402399</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4334065</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4940721</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4902266</CurrentTaxYearAmt>
        <TotalAmt>25177182</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99990</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00010</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>139950</OtherCostOrOtherBasisAmt>
        <BookValueAmt>139950</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1314120</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>653515</DepreciationAmt>
        <BookValueAmt>660605</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>555258</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>533011</DepreciationAmt>
        <BookValueAmt>22247</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>70974</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>70974</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>822802</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Restricted Cash</Desc>
        <BookValueAmt>26710</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-use asset-operating leases present value net of amortization</Desc>
        <BookValueAmt>352974</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>379684</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liability</Desc>
        <Amt>352974</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>352974</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4940773</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>9732</OtherRevenueAmt>
      <RevenueNotReportedAmt>9732</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4931041</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4931041</TotalRevenuePerForm990Amt>
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      <OtherExpensesIncludedAmt>9732</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>9732</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4869469</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4869469</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Special events exp. categorized to expense on audited financial stmts 9,732.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Special events expenses categorized with revenue for 990 purposes 9,732.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Golf Trnmt</Event1Nm>
        <GrossReceiptsEvent1Amt>15442</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>15442</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>9732</RentFacilityCostsEvent1Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>15442</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>15442</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>9732</RentFcltyCostsTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>9732</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>5710</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The finance committee of the board of directors reviews and approves the 990 prior to filing. The entire Board receives a copy of the 990 at the board meeting subsequent to approval by the finance committee and, typically, subsequent to the filing date for the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All new vendors, contractors, etc. are discussed with the board prior to engagement for products or services. Discussions include potential conflicts. Should conflicts arise, the board discusses the cost/benefit of proceeding with the engagement and, should the board decide in favor of the engagement, the board ensures that proper documentation for all parties concerned is prepared.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board assigns a compensation committee the duty of reviewing comparative salary information for the executive director and key management employees. The committee reviews 990's of other organizations in its salary approval process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
